Lecture 7: Vestibular system Flashcards

1
Q

What is the function of the vestibular system

A

Provides sense of balance with respect to placement of head in space. and designed to sense motions that arise from head movements as well as the inertial effects due to gravity.

It is generally unconscious, but essential for co-ordination of motor responses, eye movements and posture.

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2
Q

What causes nausea when you get sea sick?

A

Unnatural movements of head, produce a conflict

between visual and vestibular input which leads to disorientation and nausea (reticular formation).

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3
Q

Describe the two components of the vestibular labyrinth and the liquids inside.

A

Bony labyrinth: Convoluted hard walled cave of canals within petrous portion of temporal bone. Filled with perilymph (low K+ / high Na+, similar to CSF).

Perilymph secreted by arterioles in periosteum surrounding labyrinth.
Drains into subarachnoid space via perilymphatic duct which runs through cochlear aqueduct in temporal bone.

Membranous labyrinth: Convoluted delicate walled sac of ‘ducts’ floating in perilymph and following shape of bony labyrinth canals. Filled with endolymph (high K+ / low Na+, similar to intracellular fluid).

Endolymph is secreted by tissue in cochlear duct.
Drains into an extradural sac via endolymphatic duct which runs through vestibular aqueduct in temporal bone.

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4
Q

What is meniere’s disease?

A

Pressure balances in perilymph and endolymph important for functioning of vestibular system. Excess pressure causes vestibular disturbance: Meniere’s disease

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5
Q

What are the two otolith organs? What is their primary function? What movements do they detect?

A

Utricle and Saccule - their primary function is to detect movements dependent on gravity. Respond to changes in angle (tilt) and linear movements of the head and are maximally sensitive to straight line changes in acceleration and direction.

The utricle detects tilt and linear movements in the transverse plane. Moving forward and back, and left and right.

For example: doing a handstand, riding a bike, swaying side to side.

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6
Q

Name the components of the membranous labyrinth

A

In each inner ear there are:

3 semicircular ‘ducts’ in semicircular ‘canals’:

Anterior semicircular canal
Lateral semicircular canal

Posterior semicircular canal

2 otolith organs in vestibule:

Utricle
Saccule

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7
Q

What movements are the semicircular canals maximally sensitive to?

A

Sensory receptors in semicircular canals are maximally sensitive to rotational motions that lie in the plane of the canal.

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8
Q

Name the semicircular canals and the movements they detect (with example activities)

A

Anterior:
Detects rotations of head in sagittal plane.
Nodding head forward and back as in ‘yes’.
Doing a somersault.

Lateral:
Detects rotations of head in transverse plane.
Turning head side to side as in ‘no’.
Doing a pirouette.

Posterior:
Detects rotations of head in coronal plane.
Tilt head towards shoulder as in ‘maybe’.
Doing a cartwheel.

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9
Q

Where are sensory receptors located in the semicircular canal?

A

Sensory receptors in semicircular canals are located in the ampullae.
(which are dilated ends of each canal near their attachment to utricle inside vestibule.)

At the ampulla endolymph is partitioned off by flexible septum of receptive tissue called the crista ampullaris.

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10
Q

Describe the structure of the crista ampullaris

A

Ridge of crista ampullaris projects into lumen of ampulla of semicircular canal and is bathed in endolymph.

Covered by neuroepithelium made of sensory hair cells and supporting cells.

Sensory hair cells’ cilia embedded in gelatinous mass called the cupula.

Hair cells are either excited or inhibited when cupula sways in endolymph and moves with respect to neuroepithelium (see hair cell functional anatomy).

Upon rotational acceleration of the head, the endolymph in the semicircular canals which are oriented in the plane of the acceleration, is subjected to inertia and bends cupula.

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11
Q

Describe the biophysics of the semicircular canals

A

At the beginning of head rotation within the plane of a semicircular canal (ie. spinning = rotational acceleration in transverse plane = lateral canal) endolymph is subjected to inertia and lags behind in canal and so endolymph temporarily moves in opposite direction to head rotation.

Cupula has same specific gravity as endolymph and so ‘sways’ in same direction as endolymph as it experiences inertia. Swaying cupula effectively bends the sensory hair cells embedded in it in the opposite direction to the direction of head rotation.

Think marshmallow floating in a cup of hot chocolate.
When gently rotate cup, marshmallow doesn’t initially
follow the cup because it’s floating on hot chocolate
and both are subject to inertia … so they lag behind
the cup rotation. … Imagine what would happen if
The marshmallow was melted to the side of the cup

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12
Q

Describe the movements that the otolith organs detect and the location of their receptors.

A

Utricle: Detects tilt / linear movements of head in transverse plane.
Moving forward and back. Moving left and right.
Doing a handstand. Riding a bike. Swaying side to side.

Receptive tissue ‘patch’ positioned horizontally on floor.
Receptors oriented to detect linear movements in transverse plane.

Saccule: Detects linear movements of head in sagittal plane.
Moving up and down.
Jumping. Riding an elevator.

Receptive tissue ‘patch’ positioned vertically on medial wall.
Receptors oriented to detect linear movements in sagittal plane.

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13
Q

What is the name of the receptive tissue patches in otolith organs?

A

They are called maculae. One it located on the floor of the utricle (macula utriculi) which wobbles in the transverse plane. One is located on the wall of the saccule (macula sacculi) which wobbles in the saggittal lplane .

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14
Q

What makes otolith organs more sensitive to gravity rather than rotational motions like the semicircular canals?

A

Unlike the semicircular canals, where hair cells embedded in the gelatinous mass - the cupula. Movement of endolymph due to rotation of the head causes this to move.

The maculae of the otolith organs are heavier than endolymph so are more responsive to changes in gravity rather than movement of endolymph.

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15
Q

Describe the structure of the macula

A

Patches of maculae project off floor / wall into cavities of utricle / saccule and are bathed in endolymph (but not moved by endolymph).

Composed of neuroepithelium made of sensory hair cells and supporting cells.

Sensory hair cells’ cilia embedded in gelatinous mass called the otolithic membrane and this is studded with ‘weighty’ calcium carbonate otoliths.

Hair cells are either excited or inhibited when otolithic membrane moves with respect to neuroepithelium (see hair cell functional anatomy). Because otolithic membrane is weighted, it is subject to gravitational changes (pulled down when head tilts) as well as to inertia (lags behind when head accelerates).

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16
Q

Describe the biophysics of otolith organs

A

If head is tilted (ie. handstand = tilt in transverse plane =
wobbles macula utriculi horizontally), the ‘heavy’ gelatinous otolithic
membrane is subject to gravity and flops towards the direction of the tilt.

If head is subjected to linear acceleration (ie. jumping up = acceleration in
sagittal plane = wobbles macula sacculi vertically), the ‘heavy’ gelatinous otolithic
membrane is subjected to inertia and ‘lags’ behind in otolith organ.

Otolithic membrane is denser than endolymph so doesn’t ‘sway’ in it.

Upon head tilt or linear acceleration, it’s
‘flop’ and ‘lag’ characteristics effectively
bend sensory hair cells embedded in it
in same direction as tilt, and in opposite
direction to direction of acceleration.

Think holding iced vanilla slice by base and tilting it …
When tilted, the weighted icing on top starts to pull
downwards due to gravity and custard slopes to the
side that is lower

17
Q

Describe the 2 types of hair cells in the vestibular system

A

Type 1:
Flask shaped.
Completely surrounded by receptive end of
bipolar primary sensory neurons.

Type 2:
Cylinder shaped.
Contacted directly by receptive end of bipolar
primary sensory neurons and motor neurons.

Surrounded by supporting cells and accumulated in
sheets of neuroepithelium (cristae or maculae).

Both types have hair tuft made of of 30-50
stereocilia protruding from surface closest to
endolymph.

Vestibular hair cells are similar to auditory hair cells (Organ of Corti) except that within each hair tuft of stereocilia there is also a single, longer, kinocilium projecting on only one side of the cell.

The stereocilia and kinocilium in the hair tuft of a single hair cell all connect via linkages and are embedded in the gelatinous mass that makes up the cupula (semicircular canals) or otolithic membrane (otolith organs).

Movement of gelatinous mass either in response to endolymph flow (semicircular canals) or gravitational pull (otolith organs), bends / displaces the hair tuft.

Displacing of hair tuft towards or away from the kinocilium determines whether or not the sensory hair cells release neurotransmitter that stimulates the receptive ends of bipolar primary (vestibular) sensory neurons …

18
Q

What are the 3 functional pairs of semicircular canals

A

Organised into 3 ‘functional’ pairs (based on orientation).
one half of each pair on each side of head.

left anterior vs right posterior
left lateral vs right lateral
left posterior vs right anterior

19
Q

Describe the general functional anatomy of the kinocilium.

A

Displacement of hair tuft towards kinocilium excites hair cell, increases neurotransmitter release, resulting in increased firing rate of bipolar primary sensory neurons contacting hair cell.

Displacement of the hair tuft away from the kinocilium inhibits hair cell, decreases amount of neurotransmitter release, resulting in a decreased firing rate of bipolar primary sensory neurons contacting hair cell.

20
Q

Describe the functional anatomy of kinocilia in the cristae

A

Over the entire crista, hair cells are arranged in a single orientation. eg. in the lateral semicircular canal each kinocilium is consistently located on the side of the hair cell that is closest to the utricle.

Endolymph flow from the ampulla into the utricle will cause depolarisation (excitation) of the hair cells (bending hair tuft towards kinocilium). Endolymph flow from the utricle into the ampulla will cause hyperpolarisation (inhibition) of the hair cells (bending hair tuft away from kinocilium).

Remember semicircular canals come in functional pairs. Kinocilia on crista in each ‘half’ of the pair are arranged in opposite orientation to the other Any rotational head movement affects each half of the functional pair in an opposite manner.

‘Push-Pull Concept’ of vestibular function
21
Q

describe the functional anatomy of the kinocilia in the maculae

A

Vestibular hair cells in maculae of otolith organs are designed to detect linear acceleration.

Over the maculae, hair cells are arranged with kinocilium placement in 2 different orientations depending on the ‘side’ of the macula they are located on in relation to a central dividing line called the striola:Arrows show direction otolithic membrane needs to move to bend tufts toward kinocilia.

Macula utriculi - Kinocilia located on side of hair cell towards striola.
Macula sacculi - Kinocilia located on side of hair cell away from striola

Striola curves through macula, so kinocilia are arranged in many different orientations and maculae capable of detecting many different head movements.

22
Q

What is the striola?

A

Dividing line within maculae dividing the orientation of the kinocilium

23
Q

What does the superior branch of the vestibular nerve contain?

A

Primary sensory neurons innervating the cristae of the anterior and lateral semicircular canals and the macula of the utricle

24
Q

What does the inferior branch of the vestibular nerve contain ?

A

Primary sensory neurons innervating the crista of the posterior semicirculae canal and the macula of the saccule.

25
Q

Where are the cell bodies of vestibular sensory neurons contained?

A

Vestibular ganglion

26
Q

Which brain stem nuclei do the otolith organs project to?

A

Lateral vestibular nucleus (from maculae in utricle and saccule) and inferior vestibular nucleus (from macula in saccule)

27
Q

Which brain stem nuclei do the semicircular canals project to

A

Superior vestibular nucleus and medial vestibular nucleus

28
Q

Describe the vestibulo-spinal reflex

A

Serves to alter muscle tone in neck, trunk and limb muscles and to change the position of the limbs and head with the goal of supporting posture, maintaining visual focus and maintaining balance with respect to centre of gravity.

If body tilts to the right, left neck muscles contract to keep head stable and left trunk muscles contract whilst left limb muscles extend in an attempt to stabilize the body’s centre of gravity and preserve upright posture.

29
Q

Describe the vestibulo-ocular reflex

A

Serves to stabilise images on retina during head movement by producing yoked and compensatory eye movements equal in magnitude and opposite in direction to the head movement perceived by the vestibular system.

If head moves to the left whilst eyes are focused, eyes make compensatory moves to the right to keep image on retina. Tilt head back, eyes move down. Head in constant motion, so reflex constantly active.